DEREKA R ROSS LCPC
NPI 1760971204
Counselor - Professional in Bakersfield, CA
About Dereka R Ross Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREKA R ROSS LCPC (NPI 1760971204) is an individual professional provider in Bakersfield, California, licensed in Maryland (LC11715) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dereka R Ross Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dereka Ross reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Reisterstown, MD 21136
- Reassigned Medicare billing, Maryland enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dereka Ross's NPI number?
The NPI number for Dereka Ross is 1760971204. It was assigned to this individual provider in the NPPES registry on May 9, 2018.
Where is Dereka Ross located?
Dereka Ross practices at 2001 28th St, Bakersfield, CA 93301. The listed phone number is (661) 868-6600.
What is Dereka Ross's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Dereka Ross enrolled in Medicare?
Yes. Dereka Ross is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dereka Ross's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dereka Ross reassigns Medicare benefits to Elevate Mental Wellness LLC (Reisterstown, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dereka Ross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dereka Ross was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dereka R Ross, LCPC · NPI 1760971204
Professional provider in Bakersfield, California. Individual provider, active in the CMS NPPES registry since May 9, 2018.
## Identity
- **NPI:** 1760971204 (Entity type: Individual)
- **Enumerated:** May 9, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LC11715 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2001 28TH ST, Bakersfield, CA 93301-1924
- **Phone:** (661) 868-6600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Elevate Mental Wellness LLC (NPI 1790679504, Reisterstown, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760971204) · Data from the CMS NPPES public registry.